Medical-Surgical RN A Prophecy Relias Test

Medical-Surgical RN A Prophecy Relias Test | 2025 100 Verified Questions and Answers | 100% Correct | Relias NCLEX-RN® Prep Overview This resource contains 100 authentic Prophecy Relias test questions with verified answers, updated for the 2025 exam cycle. Carefully curated to reflect current nursing standards and

evidence-based practices, it covers critical topics such as:

• Post-op care and surgical drains • Infection control and isolation precautions • Pharmacology and safe medication administration • Emergency interventions and patient safety • Chronic condition management (COPD, CHF, diabetes, and more) • Ethical decision-making and patient rights Designed for nurses preparing for Medical-Surgical RN certification, NCLEX-RN® readiness, and hospital competency assessments.Answer Format Correct answers are highlighted in bold green for rapid review. Rationales included for clinical context.Exam Sections • Cardiovascular (25 Qs) • Respiratory (20 Qs) • Endocrine/Metabolic (15 Qs) • GI/Renal (20 Qs) • Neurological/Ortho (20 Qs)

Medical-Surgical RN A Prophecy Relias Test 2025 Cardiovascular (25 Questions) Question 1 A patient’s blood pressure is 180/92 mmHg with chest pain. What is the first action?

• Administer nitroglycerin
• Notify the provider
• Administer oxygen
• Start an IV line

Rationale: Notifying the provider ensures timely evaluation of potential acute coronary syndrome, per evidence-based ACS protocols. 1 / 3

Question 2 A patient with atrial fibrillation is on warfarin. What lab value is monitored?

• Platelet count

B. INR

• Hemoglobin
• Potassium

Rationale: INR ensures warfarin’s anticoagulant effect is within therapeutic range (2–3 for AF), per anticoagulation guidelines.Question 3 A heart failure patient has a potassium level of 5.8 mEq/L. What is the priority?

• Administer furosemide
• Notify the provider
• Encourage potassium-rich foods
• Administer IV fluids

Rationale: Hyperkalemia (>5.5 mEq/L) risks cardiac arrhythmias; notifying the provider initiates urgent treatment.Question 4 Which symptom suggests digoxin toxicity?

• Hypertension
• Nausea and visual changes
• Increased urine output
• Hypoglycemia

Rationale: Nausea and visual changes (e.g., yellow-green halos) are hallmark signs of digoxin toxicity, per pharmacology standards.Question 5 A post-MI patient reports sudden dyspnea. What is the first action?

• Elevate the head of the bed
• Administer oxygen
• Check blood pressure
• Administer aspirin

Rationale: Administering oxygen addresses hypoxemia in potential pulmonary edema, per AHA guidelines. 2 / 3

Question 6 Which finding supports a deep vein thrombosis diagnosis?

• Bilateral leg edema
• Unilateral leg swelling and pain
• Cool, pale skin
• Absent pedal pulses

Rationale: Unilateral leg swelling and pain indicate venous obstruction, consistent with DVT clinical presentation.Question 7 A patient with chest pain receives nitroglycerin. What is a common side effect?

• Hyperglycemia
• Hypotension
• Tachycardia
• Hyperkalemia

Rationale: Nitroglycerin’s vasodilatory effect causes hypotension, per medication safety profiles.Question 8 A patient with a pacemaker reports dizziness. What is assessed first?

• Blood glucose
• Heart rate and rhythm
• Respiratory rate
• Temperature

Rationale: Dizziness may indicate pacemaker malfunction; heart rate and rhythm

assessment is critical, per device management protocols.Question 9 Which medication is contraindicated in asthma and heart failure?

• Lisinopril
• Propranolol
• Furosemide
• Digoxin

Rationale: Propranolol, a non-selective beta-blocker, risks bronchospasm in asthma, per pharmacology guidelines.

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